Health service income and relevant factors among village health personnel in Puan county

ObjectiveTo explore the status of health service income and its relevant factors among village health personnel(VHP)in Puan,a poverty-stricken minority county,Guizhou province.MethodsA cross sectional survey was conducted with a structured questionnaire among 149 VHPs in January 2010 in Puan county,Qianxi'nan autonomous prefecture of Buyi and Miao minorities,Guizhou province.Multivariate stepwise logistic regressions were performed.ResultsAbout 81.9% of respondents were village doctors with occupational qualification and 18.1% were assistants of medical doctor.Of all respondents,87.2% reported a working time more than 48 hours per week,and 12.8% reported≤48 hours working time per week;86.8% accepteed on job training in previous year.The respondents reported an average monthly income of 1 258 RMB Yuan,of which 1 000 Yuan for medical services income(79.5%),258 Yuan for public health service subsidy(20.5%).There were 55.0% of the respondents reporting an average monthly income of≤1 000 Yuan,and 45.0% reporting that of >1 000 Yuan.There were 59.1% of the respondents reporting the increase of health service income since the implementation of the new type rural cooperative medical system.On-job training,working time per week,and occupation qualification played a positive prediction role on the health service income,with the odds ratios of of 8.96,3.94,and 3.12,respectively,a Cox and Snell R² of 0.17,and a model χ² of 27.22(P<0.01).ConclusionThe level of health service income is lower among VHP.The health service income is influenced by on-job training,working time per week,and occupational qualification.